Active NPI
Mohiba K Tareen, MD
- Dermatology Physician
- Roseville, MN
National Provider Identifier
1740448117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 54002
- Practice address
- 2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306 - Phone
- (651) 633-6883
- Fax
- (651) 331-3459
- NPI assigned
- Jun 1, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 54002 | MN | Primary |
Addresses
Primary practice location
2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Mailing address
2720 Fairview Ave N Ste 200
Roseville, MN 55113-1306
Phone (651) 633-6883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Michigan Medical School, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1575 20TH St NW
Suite 201
Faribault, MN 55021-2933
Phone (651) 633-6883
2651 Hillcrest Dr
Suite 304
Hudson, WI 54016-9914
Phone (651) 633-6883
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 104 |
| Removal of skin lesions | 307 |
| Removal of skin cancer | 293 |
| Removal or shaving of skin growth | 224 |
| Skin biopsy | 563 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54002 | MN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tareen Dermatology, P.a. | Past | Accepting new patients | |
| Tareen Dermatology, PA | Past | Accepting new patients | |
| Tareen Dermatology, PA | Past | Accepting new patients | |
| Howard D. Solomon, DO, PC | Dermatology | Past | Accepting new patients |
| Tareen Dermatology, PA | Past | Accepting new patients | |
| Tareen Dermatology, PA | Past | Accepting new patients |
Interoperability endpoints
- mohiba.tareen.1@21423.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-Pharmacy Dispensing Site
- Faribault, MN
- NPI 1215479530
-
- Non-Pharmacy Dispensing Site
- Monticello, MN
- NPI 1437848116
-
- Non-Pharmacy Dispensing Site
- Eagan, MN
- NPI 1710750047
-
- Non-Pharmacy Dispensing Site
- Maplewood, MN
- NPI 1851856504
-
- Non-Pharmacy Dispensing Site
- Hudson, WI
- NPI 1467381293
-
- Procedural Dermatology Physician
- Forest Hills, NY
- NPI 1598054520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1740448117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 200",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-633-6883",
"fax_number": "651-331-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 FAIRVIEW AVE N STE 200",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131306",
"telephone_number": "651-633-6883",
"fax_number": "651-331-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAREEN",
"first_name": "MOHIBA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-01",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "54002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.